01D2178117 CLIA NUMBER - SPEDALE MD PC

Laboratory Demographics

  • CLIA Code: 01D2178117
  • Facility Name: SPEDALE MD PC
  • Facility Address: 3113 WESLEY WAY SUITE 1
    DOTHAN, AL
    ZIP 36305
  • Facility Phone: 334 699-5123
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY R. SPEDALE
  • NPI Number: 1184273096
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2178117
LAB Type Physician Office
Facility Name SPEDALE MD PC
Street 3113 WESLEY WAY SUITE 1
City DOTHAN
State AL
ZIP 36305
Phone 334 699-5123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Physician Office
Lab Director ANTHONY R. SPEDALE

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This page was last updated on: 9/29/2025